| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.39 | $168.98 | $202.40 | |
Cigna
| Professional | $101.80 | $101.80 | $101.80 | |
Emblem Health
| Professional | $296.92 | $311.06 | $381.75 | |
Horizon BCBS
| Professional | $230.43 | $230.43 | $230.43 | |
United
| Professional | $105.81 | $141.08 | $169.67 |